Payment System Regulation
Links and Resources
Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH)
Regulation to update Medicare payment policies and rates under the IPPS and LTCH PPS.
Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC)
Regulation to update Medicare payment policies and rates under the OPPS and ASC PPS.
Physician Services Regulation
Physician Fee Schedule
Regulation to update payment policies and rates under the Physician Fee Schedule
Implements provisions of the Medicare Access and CHIP Reauthorization Act (MACRA) related to the new physician payment system: the Merit-based Incentive Payment System and alternative payment models.
Requires Medicare Part A and B providers to report and return overpayments.
Medicaid and CHIP Managed Care
Regulation to update policies under Medicaid managed care.